• Utilization Management Nurse - US Air Force

    Katmai (Usaf Academy, CO)
    …Registered Nurses (RN) licensed in Colorado, be able to practice using a nurse compact state license or have a license from any United States jurisdiction ... of Diseases-Current Version (ICD), and Current Procedural Terminology-Current Version (CPT) coding ; and McKesson (InterQual) and/or Milliman Care Guidelines. + Life… more
    Katmai (01/07/26)
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  • MDS Nurse (Full-Time)

    Continuing Healthcare Solutions (Milan, OH)
    …Familiarity with Restorative programming and coding , at minimum ICD-9 is also required. Keyword: MDS Nurse (Full-Time) From: Continuing Healthcare Solutions ... Job Descriptions: This is a great time to consider joining Continuing Healthcare Solutions as a MDS LPN! Now offering the best opportunities in long term care for our MDS LPN FREE Healthcare Insurance We care about our MDS LPN and think you will agree when you… more
    Continuing Healthcare Solutions (01/07/26)
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  • Lead Clinical Review Nurse - Correspondence

    Centene Corporation (Denver, CO)
    …documentation, clinical criteria/guidelines, and policy, including insurance rejections due to coding issues and escalates as appropriate to resolve issues in a ... management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required- **Compact License** **Location: Position is… more
    Centene Corporation (01/06/26)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + 2 years recent relevant ... of care and associated regulatory compliance requirements. + General understanding of coding and DRG assignment process preferred. + Must be able to effectively… more
    Sutter Health (01/06/26)
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  • Nurse Practitioner Med-Surg Mix…

    Omaha Children's Hospital (Omaha, NE)
    …knowledgeable in billing regulation practices to include documentation requirements/CPT coding regulations. + Knowledge of physical, mental, developmental, emotional ... supervision, and detail oriented. **Licenses and Certifications** + CPNP-AC - Certified Pediatric Nurse Practitioner - Acute Care Upon Hire Required and + BLS -… more
    Omaha Children's Hospital (01/06/26)
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  • Registered Nurse - Clinical Documentation…

    University of Washington (Seattle, WA)
    …of Washington Medical Center** has an outstanding opportunity for a **Registered Nurse - Clinical Documentation Integrity Data Analyst** to join our team. **WORK ... collaboration with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve quality and completeness of documentation of care… more
    University of Washington (12/31/25)
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  • Utilization Review Nurse LVN

    Prime Healthcare (Ontario, CA)
    …Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse (LVN) license. + Minimum (2) two years of experience in acute ... Extensive knowledge of professional and hospital claims. + Extensive knowledge of coding , billing. + High School Diploma or GED Preferred qualifications: +… more
    Prime Healthcare (12/31/25)
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  • Assistant Nurse Manager - GYN Oncology

    BJC HealthCare (St. Louis, MO)
    …+ Located on BJH North Campus **Additional Preferred Requirements** + Charge Nurse or Other Leadership Experience + Oncology Experience Preferred, but Not Required ... and approve daily payroll updates. Reconcile time cards, bonus tracking and coding approval. Prepare, coordinate and execute all staff communications; prepare huddle… more
    BJC HealthCare (12/30/25)
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  • Utilization Management Nurse

    US Tech Solutions (Columbia, SC)
    …of contract language and application. Thorough knowledge/understanding of claims/ coding analysis/requirements/processes. Preferred Software and Other Tools: Working ... of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech Solutions:** US Tech Solutions is a… more
    US Tech Solutions (12/24/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (New Haven, CT)
    + This is a case management/educator type position NOT visiting nurse + You will work out of the dialysis clinic + $7500 bonus + 1 year paid RN experience required, ... complete CPR certification with maintenance as required. + Icd-9 coding Training. + Demonstrated teaching abilities. **ACKNOWLEDGEMENT:** I acknowledge that… more
    Fresenius Medical Center (12/18/25)
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